MR. Mitchell G Grayson, LCDC

NPI #1194080515 in Longview, Texas

Provider Information

NPI Number
1194080515
Entity Type
Individual
Name
MR. Mitchell G Grayson, LCDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LCDC
Enumeration Date
Jul 11, 2012
Last Updated
Jul 11, 2012

Practice Location

Address
950 N 4TH ST
State
Texas
ZIP Code
75601-5436
Phone
(903) 758-0596

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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